| NPI | 1164951430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MA 1013256) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MN 70969) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-01-08 |